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Case Reports in Anesthesiology
Volume 2016, Article ID 3158015, 4 pages
http://dx.doi.org/10.1155/2016/3158015
Case Report

Is It Possible to Maintain Consciousness and Spontaneous Ventilation with Chest Compression in the Early Phase of Cardiac Arrest?

Department of Anesthesiology and Reanimation, Mustafa Kemal University Faculty of Medicine, 31100 Hatay, Turkey

Received 29 October 2015; Revised 5 January 2016; Accepted 17 January 2016

Academic Editor: Pavel Michalek

Copyright © 2016 Menekse Oksar and Selim Turhanoglu. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Chest compression is important in cardiopulmonary resuscitation. However, life support algorithms do not specify when chest compression should be initiated in patients with persistent spontaneous normal breathing in the early phase after cardiac arrest. Here we describe the case of a 69-year-old man who underwent femoral bypass surgery and was extubated at the end of the procedure. After extubation, the patient’s breathing pattern and respiratory rate were normal. The patient subsequently developed ventricular fibrillation, evident on two monitors. Because defibrillation was ineffective, chest compression was initiated even though the patient had spontaneous normal breathing and defensive motor reflexes, which were continued throughout resuscitation. He regained consciousness and underwent tracheal extubation without neurological sequelae on postoperative day 1. This case highlights the necessity of chest compression in the early phase of cardiac arrest.